Philip Anthony Dibartolo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MCOO3113 Issued in NJ

Practice address

4036 Ocean Heights Ave
Egg Harbor TWP, NJ 08234-7505

Phone

(609) 926-1100

Fax

(609) 926-0054

NPI assigned

Sep 26, 2006

Last updated

Apr 16, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dibartolo Chiropractic, LLC

  • Chiropractor
  • Egg Harbor Township, NJ
  • NPI 1043373640
  Medicare reassignment NPD Authorized official
• Citywide Chiropractic LLC

  • Rehabilitation Chiropractor
  • Upper Darby, PA
  • NPI 1922561257
  NPD Authorized official
• Citywide North, PC

  • Chiropractor
  • Philadelphia, PA
  • NPI 1124628540
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239840000000",
    "number": "1477654622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 OCEAN HEIGHTS AVE",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082347505",
            "telephone_number": "609-926-1100",
            "fax_number": "609-926-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 OCEAN HEIGHTS AVE",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082347505",
            "telephone_number": "609-926-1100",
            "fax_number": "609-926-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBARTOLO",
        "first_name": "PHILIP",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2009-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MCOO3113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creative Compassion Counseling LLC
• Cross Training Rehabilitation, LLC
• Matthew William Cross, M.S.P.T.
• Patrick Deveney
• Linda Mandata Dibartolo, D.C.
• Mikhail Domantovskiy, PHARM D
• Melissa Durkin, COTA
• Catherine A Dziegrenuk, RBT
• Emerging Transitions
• Family Choice Community Services LLC

• Chiropractor in Egg Harbor TWP, NJ
• Providers in Egg Harbor TWP, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.